MEDICARE: MRS. AMY P LEVINE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	341758-01	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00361700	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457394884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY P LEVINE MD

Provider Business Mailing Address
First Line	:	2370 WATERFORD VILLAGE DR
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-8936
Country	:	US
Telephone Number	:	419-297-7942
Fax Number	:

Provider Business Practice Location Address
First Line	:	5757 PARK CENTER CT.
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615
Country	:	US
Telephone Number	:	419-474-4064
Fax Number	:	419-472-2772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	02/12/2026

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